Evaluasi Kerasionalan Pengobatan Diabetes Melitus Tipe 2 Pada Pasien Rawat Inap Di Rsup Prof. Dr. R. D. Kandou Manado Tahun 2013

This study aimed to evaluating the rational of in patients Diabetes Mellitus type 2 medication in RSUP Prof. dr. R.D. Kandou Manado at 2013. This study was conducted on 46 medical record of patients of Diabetes Mellitus type 2. The result showed that 46 in patient Diabetes Mellitus type 2 in RSUP Prof. dr. R.D. Kandou Manado at 2013 were 51-60 years old (58,7%). Diabetes Mellitus type 2 patients comprised 16 men and 30 women. 15 cases (32,6%) were Diabetes Mellitus type 2 without complication diseases and 31 cases (67,4%) Diabetes Mellitus type 2 with complication diseases. Patients had indication appropriate were 40 patients (86,96%), drug choise appropriate 40 patients (100%). Dosis appropriate were 36 patients (97,32%), patient appropriate were 40 patients (100%), while for drug interaction not interaction

Diabetes Mellitus Type 2

Diabetes Mellitus is a metabolic disorder that affects millions of people. The trend continues to be upward. Youth and children are not exempt from this. It is a chronic metabolic disorder characterized by persistent hyperglycemia. Causes are impaired insulin secretion, resistance to the peripheral action of insulin, or both. There are three types of diabetes: type 1, type 2, and gestational. Type 2 DM accounts for around 90% of all cases of DM. In type 2 DM, the body\u27s response to insulin diminishes causing insulin resistance. It is commonly seen in people older than 45 years old but increasingly seen in children, and young adults due to changes in lifestyle, obesity, physical inactivity, and an energy-dense diet. The main symptoms of T2DM are described as three polys – polydipsia, polyuria, and polyphagia. It can be prevented and managed with the proper implementation of behavioral and lifestyle changes. A deeper understanding of T2DM must be developed through research on multiple aspects of the disease

Perbedaan Kadar Trigliserida Pada Penderita Diabetes Melitus Tipe 2 Dengan Hipertensi Dan Tanpa Hipertensi Di RSUD Moewardi

Background: Hypertension is common in patients with diabetes mellitus. Hypertension also increases the risk of cardiovascular disease in diabetes mellitus. High triglyserides level was a sign of dislipidemia. Diabetes mellitus and hypertension accompined with dislipidemia increased the risk of cardiovascular disease. Objective: This study aimed to know the difference of triglycerides level in diabetes mellitus type 2 with hypertension and non hpertension patients. Methods: This study was an observational analiytic with cross-sectional method using patiens medical record in Moewardi General Hospital in December 2014. Total sample was 100, divided into 2 groups of 50 diabetes mellitus type 2 with hypertension and 50 diabetes mellitus type 2 non hypertension groups. The sample were taken using purposive sampling method, then analyzed using Mann-Whitney test by SPSS 17.0 for windows. Result: The characteristics of diabetes mellitus type 2 in woman (51%) and men (49%) were not much different. The largest proportion of the age range is 56-65 years. Mann-Whitney test result was p=0.001 which means there is significant difference of triglycerides levels between two variables. Conclusion: Triglycerides levels in diabetes mellitus type 2 with hypertension is higher compared with diabetes mellitus type 2 non hypertension respondent

Self-Care Adherence Experience in Patient with Diabetes Mellitus Type 2: A Systematic Review

Background: Diabetes Mellitus is a metabolic disease that cause its patient need a long life maintenance. Diabetes Mellitus management in daily life is a complex activity and need an understanding about medicines, healthy diet, physical activities, and glycemic control. All those things is a personal responsibility of patient with Diabetes Mellitus Type 2. The objective of this systematic review was to describe the self-care adherence experience in patient with Diabetes Mellitus Type 2. Method: 15 best articles were found using PECOT framework in some databases; EBSCO, Science Direct, Scopus, and Journal of Universitas Airlangga. Those articles have been chosen based on some criteria. Result: Self-care therapeutic regiment for patient with Diabetes Mellitus Type 2 are physical activities, diet, self-monitoring blood glucose (SMBG), and glycemic control. But most of respondents were disobey the therapy caused by various factors. Depression is one of the reason. Conclusion: Nursing intervention was needed to increase self-care adherence in patient with Diabetes Mellitus Type 2

The Effect of Hypnotherapy on the Reduction of Blood Glucose Levels in Diabetes Mellitus Type-2

Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia, which occurs due to abnormalities in insulin secretion, insulin action, or both. Most cases of diabetes mellitus are diabetes mellitus type-2. The purpose of this study was to determine the effect of hypnotherapy on reducing blood glucose levels in patients with diabetes mellitus type-2. The research used a quasi-experimental design with a non-equivalent control group design. Purposive sampling was used, and 30 respondents selected. The instrument in this study was a single stick tool. The intervention group was given standard therapy treatment in the form of bio-energy therapy and hypnotherapy, while the control group was only given standard therapy treatment in the form of bio-energy therapy. Univariate analysis of the results indicates that the average blood glucose level before treatment was 234.67 mg/dl and after treatment was 194.67 mg / dl. Bivariate analysis based on the results of the Wilcoxon Signed Ranks Test obtained a p-value of 0.002 (p-value <0.05). This means that hypnotherapy reduced blood glucose levels in diabetes mellitus type-2 sufferers. This study recommends the nursing profession apply hypnotherapy as an alternative or non-pharmacological complementary therapy that can be used to reduce blood glucose levels in people with diabetes mellitus type 2.   Keywords: Hypnotherapy, diabetes mellitus type 2, blood glucose level

EFFECTIVENESS EXERCISES OF SELF-ACCEPTENCE: RELAXATION AND DZIKIR FOR REDUCTION OF BLOOD GLUCOSE DEGREE TO THE PATIENT OF DIABETES MELLITUS TYPE 2

Introduction: Diabetes mellitus in the heterrogeneous difference that mark by the reduction of blood glucose or hyperglukemia. The numeral incident of diabetes mellitus type 2 still high in the Burneh Health Centre. The purpose of this research is to make some analysis the side effect for exercises of self-acceptence : relaxation and dzikir for reduction of blood glucose degree to the patients of diabetes mellitus type 2 in the Burneh Health Centre, Bangkalan Regency. Method: The research is the kind of experiment research with Design Quasy Experimental Pretest-Posttest with control group. The population in this research is all the patients of diabetes mellitus type 2 in the Burneh Health Centre, Bangkalan Regency as many 55 people. With the sample as many as 18 people who selected at random and the result will analysis with use the test of paired t-test, and the test of independent t-test. Before doing this research, the average of blood glucose from 9 respondents that is 266,78. While after doing the exercises of selfacceptence make down become 249,7. Result: In the analysys of paired t-test showed there are some effects from the exercises self-acceptence for the reduction of blood glucose to the patients of diabetes mellitus type 2 with the p value = 0,018. Conclusion: The suggestion for all health’s staffs in the Burneh Health Centre and also for the other health’s in whereever, they need to demostrate that is in addition to drug therapy, dietary adjustments, and the healthy lifestyle for the client/patients diabetes mellitus type 2, the training of self-acceptence can also help in lowering blodd glocose levels in diabetes mellitus type 2 clients. Keywords: Exercises Of Self-Acceptence: Relaxation and Dzikir, Blood Glucose, Diabetes Mellitus Type

Health Maintenance Regarding Carbohydrate Counting and Calorie Restricted Diets in Diabetes Mellitus Type 2 Patients

Diabetes Mellitus is a rapidly growing epidemic in today’s society. In 2000, 2.8% (171 million) of the world had this diagnosis. In 2030, it is expected to increase to 4.4% (366 million). There is an increased need for research and implementation in the nursing field to manage diabetic symptoms. Diabetes mellitus type 2 is a cellular change causing insulin to be resistant to the cells which leads to a build up of glucose. Multiple medical complications can result from the diagnosis of diabetes mellitus type 2. The purpose of this study is to determine which diabetic diet is more effective in reducing the symptoms of diabetes mellitus type 2 patients: carbohydrate counting or calorie restricted diets

EVALUASI KERASIONALAN PENGOBATAN DIABETES MELITUS TIPE 2 PADA PASIEN RAWAT INAP DI RSUP PROF. Dr. R. D. KANDOU MANADO TAHUN 2013

This study aimed to evaluating the rational of in patients Diabetes Mellitus type 2 medication in RSUP Prof. dr. R.D. Kandou Manado at 2013. This study was conducted on 46  medical record of patients  of Diabetes Mellitus type 2. The result showed that 46 in patient Diabetes Mellitus type 2 in  RSUP Prof. dr. R.D. Kandou Manado at 2013 were 51-60 years old (58,7%). Diabetes Mellitus type 2 patients comprised 16 men and 30 women. 15 cases (32,6%) were Diabetes Mellitus type 2 without complication diseases and 31 cases (67,4%) Diabetes Mellitus type 2 with complication diseases. Patients had indication appropriate were 40 patients (86,96%), drug choise appropriate 40 patients (100%). Dosis appropriate  were 36 patients (97,32%), patient appropriate were 40 patients (100%), while for drug interaction not interaction.   Key words : Rational evaluation, Diabetes Mellitus type 2, RSUP Prof. dr. R.D. Kandou Manad